Individual provider Active NPI

Isaac J Kobzeff, CRNA

  • Certified Registered Nurse Anesthetist
  • Silverton, OR
National Provider Identifier
1851338263
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
200560008 Issued in OR
Practice address
342 Fairview St
Silverton, OR 97381
Phone
(503) 873-1500
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 200560008 OR Primary

Addresses

Primary practice location

342 Fairview St
Silverton, OR 97381

Mailing address

5319 SW Westgate Dr
241
Portland, OR 97221-2432
Phone (503) 297-7223

Other identifiers 2

IdentifierTypeStateIssuer
807251011OtherORREGENCE BCBSO
269650MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323001243 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264488162 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
200560008ORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Dreams Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Northstar Anesthesia of Oregon LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 31, 2025 Accepting new patients
Silverton Health CurrentSince Apr 27, 2014 Accepting new patients
Kobzeff Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 7, 2022 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Apr 27, 2014 Accepting new patients

Locations

2525 12th St SE
Ste 110
Salem, OR 97302
Phone (503) 364-3704

1460 Commercial St SE
Salem, OR 97302
Phone (503) 364-5033

3099 River Rd S
Ste 100
Salem, OR 97302
Phone (503) 361-3094

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1851338263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR",
            "address_2": "241",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212432",
            "telephone_number": "503-297-7223",
            "fax_number": "503-297-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "97381",
            "telephone_number": "503-873-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBZEFF",
        "first_name": "ISAAC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "200560008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBSO",
            "identifier": "807251011",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269650",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.